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Denials and Appeals - Registered Nurse

Fort Worth, TexasCornerStone Medical

Denials and Appeals - Registered Nurse 
Fort Worth, TX

CornerStone Medical is looking for a highly trained and skilled HP Denials and Appeals Registered Nurse for our high profile client in Fort Worth, TX. The Denials and Appeals RN is responsible for the overall management and communication of the denial and appeal process.

Requirements of the Denials and Appeals Registered Nurse:
  • Minimum of 5 years clinical experience
  • BSN preferred but not required
  • 3-5 years utilization review/case management experience.
  • Minimum of 1 year experience in a Medicaid, Children's Health Insurance Program, or STAR+PLUS managed care organization.
  • Experience with managed care denial and appeal processes preferred. 
  • Excellent assessment, cognitive, and critical thinking skills.
  • Must be able to make complex decisions and work independently, and to meet tight deadlines.
  • Excellent vocabulary, grammar, spelling, punctuation, and composition skills proven through the development of written communication.
  • Demonstrated proficiency with Microsoft Office (Word, Excel, Outlook, and PowerPoint). 

Benefits of the Denials and Appeals Registered Nurse: 
  • Competitive compensation packages/ relocation
  • Matching 401k
  • Tuition reimbursement
  • Medical, Dental and Vision Insurance
  • Life, AD&D, Long Term Care and Disability
  • PTO

Quick Apply online or text Erica at 972-435-6385